| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
2,919 |
2,228 |
$372K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,209 |
979 |
$366K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
948 |
823 |
$343K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
336 |
319 |
$91K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
148 |
137 |
$40K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
75 |
69 |
$846.00 |